MARK DANIEL DITTLOFF MS LPC NPI 1194965590

NPI Information

NPI: 1194965590
Provider Name: MARK DANIEL DITTLOFF, MS, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
820 ARBUTUS AVE
OCONTO, WI
ZIP 54153
Phone: (920) 834-8833
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Mark Daniel Dittloff, MS, LPC is a professional counselor in Oconto, WI with 34 years of experience. Mark Daniel Dittloff, MS, LPC NPI is 1194965590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

820 ARBUTUS AVE
OCONTO, WI
ZIP 54153-004
Phone: (920) 834-8833
Fax: (920) 834-8830

The NPI 1194965590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/24/2009 and was last updated on 11/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	64969	TEXAS	No
2	101YP2500X	Counselor	Professional	8608-125	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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